Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Professional Orthopedic and Sports Physical Therapy, PC

Organization Physical Therapist · NPI 1093160590

Professional Orthopedic and Sports Physical Therapy, PC is a Physical Therapist in Stony Brook, New York. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Chapman Pkwy
Stony Brook, NY 11790-1756
Phone: (718) 819-6805
Fax: (347) 841-9109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1093160590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Credentialing Manager · (718) 819-6805
NPI enumeratedMay 3, 2016
Last updated in NPPESMay 3, 2016
Mailing address2142 Utopia Pkwy, Whitestone, NY 11357-4142

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